Membership Application

To apply for HealthWest Partnership membership online, fill out the Membership Request Form below.

In order to submit a valid application for HealthWest Membership you must agree to the following Terms and Conditions:

Terms and Conditions

In submitting this form I agree that:

  1. My organisation is a provider of services in the catchment with a written commitment to service improvement.
  2. I have read and agree with the terms set out in the HealthWest Partnering Agreement Roles and Responsibilities.

 Membership Application Process

  • Membership applicants will receive a decision from the HealthWest Management Team within two months of receipt of application.
  • Once endorsed by the Management Team, you will receive a partnering agreement to be signed by the chair of HealthWest and the CEO of your organisation.

Membership Request